MEDICARE: DR. SONIA A SMITH M.D.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME107662	FL
2	207Q00000X	Family Medicine Physician	64810	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780742320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SONIA A SMITH M.D.,

Provider Business Mailing Address
First Line	:	2900 CORPORATE WAY D
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3925
Country	:	US
Telephone Number	:	954-276-5663
Fax Number	:	954-276-0301

Provider Business Practice Location Address
First Line	:	8199 N UNIVERSITY DR
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-1744
Country	:	US
Telephone Number	:	855-226-6633
Fax Number	:	866-285-7068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	04/17/2026

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